Organization
GOOD SAMARITAN HOME CARE
Active
Other names
Aza Sims
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AZA SIMS (OWNER)
(215) 964-4335
Entity
Organization
Contact information
Practice address
30 S 15TH ST FL 15, PHILADELPHIA, PA 19102-4806
(215) 258-4285
(267) 799-2492
Mailing address
30 S 15TH ST STE 1500, PHILADELPHIA, PA 19102-4826
(215) 964-4335
(267) 799-2492
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57773601
HOME CARE AGENCY/HOME CARE REGISTRY
PA
Enumeration date
08/09/2021
Last updated
01/26/2022
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